Chapter 31 Section 31

"The test results show that the current situation is good, so we want to perform the operation as scheduled. Is this possible?" Xiyuan's voice resounded through the spacious VIP ward.Shimabara Soichiro sat cross-legged on the hospital bed as usual, and his wife Ka Yoko sat on a chair beside the hospital bed. Although her hair was gray, her skin was not as elastic as she was over fifty.Xi Ji could imagine that she must have spent a lot of money on her appearance, and that Chanel suit fit her well, with a platinum bag on her lap. "Doctor, please please. I feel so happy to think that I can finally get rid of this trouble." Shimahara deliberately showed that he was not afraid, but Xi Ji found that he was actually very afraid of surgery.Various inspections have been carried out in the past few days, and she was present almost all of them. It can be seen that Shimabara is getting more and more nervous every day.When he took his pulse just now, he just said that Professor Xiyuan would come to explain the operation, and his palms were sweating.

"Around eight o'clock that morning, the anesthesia will be prepared first, which will be an intramuscular injection. Then, you will be asked to move to the operating room. Of course, you will be transported on a trolley." "Did you fall asleep by then?" Shimabara asked. "Some people are." "So it's possible he wasn't asleep?" "The formal anesthesia will not be performed until after the operating room, and then it will be general anesthesia." "And then you lose consciousness, right?" "Yes, it will be completely asleep by then."

Shimabara nodded nervously.Xi Ji could understand his mood.He was imagining himself falling asleep from the anesthesia, afraid that he would never wake up again. Nishizono didn't seem to notice Shimabara's mood, and continued to explain the procedures on the day of the operation in a flat tone, and then said: "We will do our best to do things the best, but surgery is risky after all. Next, I I would like to explain this in detail.” "Risk?" Shimabara's cheeks looked cramp. Jia Rongzi, who had kept her head down, also raised her head. "No one knows what will happen during the operation. At that time, we will discuss with the family members of the patient. In your case, we need to discuss with your wife, so we hope to obtain your understanding in advance."

"Wait...wait a minute." Shimabara panicked. "Didn't the doctor say there is no problem? You said there will be absolutely no problem." "Mr. Shimabara," Saizono said calmly, "There is no operation that is absolutely safe." "Why only now..." "I will explain the contents of the operation. First, please listen to me." Xiyuan took out a sketch, which showed a large aneurysm.In Shimabara's case, there was a huge bulge in an arched arc above the heart. "We are going to replace this part with artificial blood vessels. However, I think I have explained to you before that this aortic arch has an important branch of blood vessels to provide nutrients for the head and upper limbs, including the brain. This time In the current surgery, even this part of the blood vessel has to be replaced with an artificial blood vessel, so the risk is higher than in other cases.”

Exactly the same situation as my dad....Xi Ji, who was listening at the side, thought to himself. "Specifically, what are the risks?" Shimabara's voice was a little hoarse. “There are various risks in terms of bleeding. First, the blood vessels branching from the aortic arch are highly likely to develop arteriosclerosis. When the artificial blood vessel is replaced, bleeding may sometimes occur from the needle hole of the suture, and it may be difficult to stop the bleeding. Because the arterial The hardened blood vessels have lost their elasticity and are very fragile."

"If so, what should we do?" "Of course another operation will be performed. When the bleeding is severe, there is a possibility of death." Shimabara gasped, and Kayoko's body trembled. "What other dangers..." Shimabara murmured. "The majority of arteriosclerotic blood vessels have deposits on their inner walls. When these deposits flow along the bloodstream to the brain, they may cause cerebral embolism. The severity varies, and the worst case is to cause brain damage. , we will act cautiously to avoid this situation as much as possible. However, if the condition of arteriosclerosis is severe, it is extremely difficult to prevent the sediment from falling completely during handling."

Xiyuan continued to explain.During the operation, the heart will stop working. If it is stopped for too long, it will burden the heart and lead to heart failure, which may cause other organs or respiratory failure.If the postoperative recovery is not good, it may also cause infection and complications due to insufficient resistance... Xiyuan carefully explained all possible dangers one by one.Listening to these instructions, Shimabara once again realized what kind of surgery he was about to face.His face turned pale, and his expression became more and more hollow. "Generally, there are these possibilities." Xiyuan finally explained the nerve paralysis and made a conclusion. "Are there any questions about these?"

Shimabara let out a sigh.As if it was very nerve-wracking, he stretched out his hand to support his head. "It's a lot of situations." "Sorry, maybe I said too much at once. Need to rephrase?" "Oh, no need. I understand. It turns out that there is really no operation that is absolutely safe." "With all due respect, this is an extremely dangerous operation." "Obviously. So, what will happen? Although there are so many risks, if you add them all up, what is the chance of being saved?" "Probability...?" "It's better to say, what is the probability of failure? Please don't be polite, tell me clearly, it will be more enjoyable."

Xiyuan nodded with his expression unchanged. "I don't know if the probability statement is correct, but the mortality rate in this type of case is about five or six percent. You can use it as a reference." Shimabara pondered for a few moments, and exchanged glances with his wife. "I think Mr. Shimabara explained this matter when he was hospitalized. What would happen if there was no operation, he should have also explained it at that time." "It's going to break, isn't it," Shimabara said, "and it could break at any moment." "According to the current situation, it is not surprising that it ruptures at any time. Once it ruptures, even if an emergency operation is performed, the hope of being rescued is extremely slim."

Shimabara pondered again, then smiled. "It's all up to the doctor, let him be slaughtered! I believe in the doctor's medical skills, so I can only do this." "What does Madam think?" Xi Yuan also asked Jia Rongzi for approval. She sat down and bowed her head. "I see, please trouble the doctor." "Then, we will send the consent form later, please sign it." "Doctor, that..." Shimabara hesitated. "What's up?" "No, uh, didn't you check today?" "This..." Xiyuan turned to look at Xi Ji. "Not today. Tomorrow, I will have an arterial blood draw, and then an echocardiogram." Xi Ji replied.

"Really? That's troublesome." Shimabara bowed to Yuki. After leaving the ward and walking a little further, Xiyuan stopped. "You take the consent form and ask them to sign it." "Should I go? Where's the professor?" "It's more convenient if I'm not there. You can tell me about Shimabara-san later." Xi Ji didn't understand Xi Yuan's intentions, but she still responded. As instructed, she came to Shimabara's ward again with a letter of consent.Shimabara was sitting on the bed, and Kayoko was cutting fruit at the counter. She read the consent form in front of the two and asked them to sign it.Shimahara signed first, and then Kayoko also signed.After confirming that there were no omissions, Xi Ji put the files into the file folder. "Excuse me." She nodded to the two, and when she was about to leave, Shimahara called her: "Ah, resident doctor." "What's up?" Shimabara scratched his head, glanced at Kayoko, and then turned to Yuki. "Is that a decision?" "Decide?" "That's right, what should I say? Can't it be changed?" Oh, Xi Ji nodded, finally understanding what he wanted to say. "If you change your mind, you can tell us at any time. But, what to do in the future, I must ask you to discuss it with Professor Xiyuan again." "Uh, if that's the case, when do we have to say it?" "Anytime." Xi Ji said. "As long as it's before the operation begins. To be more precise, before the anesthesia kicks in." "Ah, that's it." "Are you still hesitating?" Xi Ji's question seemed too direct.Shimabara frowned with a look like why did you say that, and the corners of his mouth turned down. "I'm not hesitating, just in case, I want to ask, I have to consider the company! I don't know when the company will need me to come forward. As a leader, you can't be careless until the last moment." "I understand. I will also tell Professor Xiyuan about this matter." "No, you don't need to tell Dr. Nishizono." Shimahara raised his right hand. "I just want to make sure that it doesn't have to be taken so seriously." "Really? Well, don't bother." "Well, thanks." Leaving the ward, Xi Ji walked in the corridor thinking about the reason why Xiyuan asked her to send the consent letter.He must have seen through Shimabara's mood, knowing that Shimabara couldn't express his inner hesitation in front of him. Xi Ji's thoughts flew back to more than ten years ago.Did Kensuke and Lily Megumi listen to Nishizono explaining the content and risks of surgery like the Shimahara couple?At that time, the chance of death due to an unsuccessful operation should be much higher than it is now. Kensuke showed no signs of fear.On the day Xi Ji went to visit for the last time, he still said with a smile that he had to live coolly if he wanted to live. Kensuke must be very disturbed too!But he does keep his insecurities to himself.However, Xi Ji guessed that his confidence in the operation was greater than anything else.It must be because of the deep belief that everything can be entrusted to the doctor to have such a smile. There is only one thing that can reassure a patient before surgery, and that is the doctor's word. There is no surgery that is absolutely safe—what Nishizono said to Shimabara just now rang in his ears again.That sentence is not to reassure the patient, but to make the patient make up his mind.Shimabara hesitated after hearing those words. After all, did Nishizono say the same thing to Kensuke?He really disclosed all the risks without reservation?Did you really not say the forbidden phrase "absolutely no problem"? For Nishizono, Kensuke is the murderer who took his son's life.When he was able to control the life and death of this man, what was he thinking? For a long time, Xi Ji had suspected that it was the relationship between Lily Megumi and Xiyuan that pushed Jiansuke to his death.The reason why she became a physician can be said to be to find out. However, if Xiyuan had another motive - to avenge his son - so what? Perhaps this motivation was formed earlier.As soon as he saw Kensuke who came to see a doctor, Nishizono should have immediately realized that he was the policeman at that time.On the contrary, Kensuke didn't notice it, but was only worried about his condition. Did Nishizono touch the trigger while examining Kensuke's aorta?This is a difficult operation, the success rate is not high, even if it fails, no one will be suspicious, let alone be held accountable... Establishing a deep relationship with Baihehui is a matter of later.In this regard, it is unknown whether he has other plans, but Xi Ji guessed it should be a coincidence.It is impossible for ordinary men to win a woman's heart by scheming, let alone Lily Hui as a wife.However, she could imagine that Xiyuan didn't hesitate too much about having an affair with Lily Hui, and was even very proactive, because it might also be part of revenge.In this way, he will have the best accomplice to make the final plan come to fruition.Even if Kensuke dies from the operation, as long as Lily Megumi does not speak, there is no need to worry about complaints. There must have been a regular meeting before the operation, but during the meeting, whether Saizono correctly informed the risks of the operation is quite doubtful.Because if too much emphasis is placed on the danger, Kensuke may choose not to operate. Without sufficient explanation, the patient was blindly reassured and signed a consent form.Although this violated the informed consent (informed consent), no one would find out, because the family member who signed the signature was Bai Hehui. Mo Hei's imagination expanded endlessly, and Xi Ji even doubted whether he could participate in Shimabara's operation in such a state. Back in the office, Yuan Gong was talking with someone else, and when that person turned around, it turned out to be Nanao. Xi Ji nodded to him, then looked at Yuan Gong. "What's wrong?" "You recognize this one, right? A detective from the Metropolitan Police Department." Yes, she said and nodded. "He came to ask about Mr. Shimabara. He asked if there were any other doctors in charge besides Professor Nishizono, and I said you too." "Sorry to bother you several times." Nanao smiled at her. "It's okay, but why are you asking about Shimabara-san?" "Many reasons." "I'm going to the intensive care unit." Yuan Gong stood up and left the room. Xi Ji sat down on the seat that Yuan Gong had just taken. "Sorry to bother you in your busy schedule." Nanao saluted. "However, fortunately, the doctor in charge is you. If it is someone you don't know, I am afraid that you will be more or less wary." "It's about intimidation." "yes." "Does Shimabara-san have anything to do with this?" "No, no, no," Nanao shook her hand, "I don't know yet, maybe it's completely irrelevant. It's just that we have to investigate all possible clues." "For patients, we in principle..." "I know that, I won't ask about his condition. I just want to ask you to recall, after Mr. Shimahara was hospitalized, did anything special happen?" "Something special?" "For example, has anyone come to ask something about Mr. Shimabara, or have you seen any suspicious people near the ward." "This," Xi Ji pondered, "I can't think of it." "yes?" Looking at Nanao's depressed expression, Xi Ji suddenly thought of something completely irrelevant - would this person know about the relationship between Nishizono and Kensuke?